Please complete all of the required fields in the application below for Tutoring services.Your application must be submitted in English.You may translate the form by using the buttons at the top of the page and then print a copy to use as a guide when completing your application.

If you are completing the application on behalf of a friend or family member, please supply your name and contact information, so that we may contact you with any questions pertaining to the applicant.

Please note: there will be a $10 assessment fee that you must pay when you take your English test (assessment) and a $50 administration fee at the time of the initial matching with a tutor.

Are you the Student?YesNo*

IF YOU ARE NOT THE STUDENT, PLESE PROVIDE YOUR NAME AND RELATIONSHIP

Your Name (If Not Student)

Relationship to Student

Your Phone Number

Your Email Address

STUDENT INFORMATION

Name of Student*

GenderMaleFemale*

Address*

City*

Cell Number

Email Address

Personal Information

Employment Status*

Are you looking to improve your English skills in order to get a job or a better job?YesNo

Marital Status*

Do you have any children?YesNo*

Date of Birth*

Birthplace*

Ethnic Group*

Please list days of week and time of day available for tutoring

Tutor PreferenceMaleFemaleEither

Please list what local libraries are you able to go for tutoring?

Background

Education Level You Have Completed*

Native Language*

Native Language AptitudeSpeaksReadsWrites

Select the English skills you are looking to learn or improveSpeakingReadingWriting